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Colonoscopic Polypectomy

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Diagnostic and Therapeutic Procedures in Gastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

In the past three decades, flexible colonoscopy has proven to be the best tool available for the detection of both colonic polyps and cancer. The colonoscope provides not only superior diagnostic accuracy for detecting and obtaining biopsies of colonic luminal lesions, but also, in the case of polyps, the potential for simultaneous minimally invasive definitive therapy as polypectomy (Tolliver and Rex 2008).

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References

  • Boix J, Lorenzo-Zuniga V, de Moreno Vega V, Ananos FE, Domenech E, Ojanguren I, et al. Endoscopic removal of large sessile colorectal adenomas: is it safe and effective? Dig Dis Sci. 2007;52:840–4.

    Article  PubMed  Google Scholar 

  • Butterly LF, Chase MP, Pohl H, Fiarman GS. Prevalence of clinically important histology in small adenomas. Clin Gastroenterol Hepatol. 2006;4:343–8.

    Article  PubMed  Google Scholar 

  • Deenadayalu VP, Rex DK. Colon polyp retrieval after cold snaring. Gastrointest Endosc. 2005;62:253–6.

    Article  PubMed  Google Scholar 

  • Doniec JM, Lohnert MS, Schneiwind B, Bokelman F, Kremer B, Grimm H. Endoscopic removal of large colorectal polyps: prevention of unnecessary surgery? Dis Colon Rectum. 2003;46:340–8.

    Article  PubMed  Google Scholar 

  • Friedland S, Soetikno R. Colonoscopy with polypectomy in anticoagulated patients. Gastrointest Endosc. 2006;64:98–100.

    Article  PubMed  Google Scholar 

  • Harewood GC. Prophylactic clip application after colonic polypectomy. Gastrointest Endosc. 2007;65:183.

    Article  PubMed  Google Scholar 

  • Hui AJ, Wong RMY, Ching JYL, Hung LCT, Chung SCS, Sung JJY. Colonoscopic polypectomy bleeding with anticoagulants and antiplatelet agents: analysis of 1657 cases. Gastrointest Endosc. 2004;59:44–8.

    Article  PubMed  Google Scholar 

  • Iishi H, Tatsuta M, Kitamura S, Narahara H, Iseki K, Ishiguro S. Endoscopic resection of large sessile ­colorectal polyps using a submucosal saline injection technique. Hepatogastroenterology. 1997;44:698–702.

    PubMed  CAS  Google Scholar 

  • Jass JR. Hyperplastic polyps and colorectal cancer: is there a link? Clin Gastroenterol Hepatol. 2004;2:1–8.

    Article  PubMed  Google Scholar 

  • Lofti AM, Spencer RJ, Ilstrop DM, Meltov LJ. Colorectal polyps and the risk of subsequent carcinoma. Mayo Clin Proc. 1986;61:337–43.

    Article  Google Scholar 

  • Miller K, Waye JD. Polyp retrieval after colonoscopy polypectomy: use of the Roth retrieval net. Gastrointest Endosc. 2001;54:505–7.

    Article  PubMed  CAS  Google Scholar 

  • Nivatvongs S. Complications in colonoscopic polypectomy. An experience with 1555 polypectomies. Dis Colon Rectum. 1986;29:825–30.

    Article  PubMed  CAS  Google Scholar 

  • Regula J, Wronska E, Polkawski M, Nasierowska-Guttmeier A, Pachlewski J, Rupinski M, et al. Argon plasma coagulation after piecemeal polypectomy of sessile colorectal adenomas: long-term follow-up study. Endoscopy. 2003;35:212–8.

    Article  PubMed  CAS  Google Scholar 

  • Rex DK, Eid E. Considerations regarding the present and future roles of colonoscopy in colorectal cancer prevention. Clin Gastroenterol Hepatol. 2008;6:506–14.

    Article  PubMed  Google Scholar 

  • Rex DK, Cutler CS, Lemmel GI, et al. Colonoscopic miss rates of adenomas determined by back-to-back colonoscopies. Gastroenterology. 1997;112:24–8.

    Article  PubMed  CAS  Google Scholar 

  • Robert ME. The malignant colon polyp: diagnosis and therapeutic recommendations. Clin Gastroenterol Hepatol. 2007;5:662–7.

    Article  PubMed  Google Scholar 

  • Tolliver KA, Rex DK. Colonoscopic polypectomy. Gastroenterol Clin N Am. 2008;37:229–51.

    Article  Google Scholar 

  • Winawer SJ, Zaube AG, Ho MN, et al. Prevention of colorectal cancer by colonoscopic polypectomy. The National Polyp Study Workgroup. NEJM. 1993;329:1977–81.

    Article  PubMed  CAS  Google Scholar 

  • Winawer SJ, Zauber AG, Fletcher RH, Stillman JS, ÓBrien MJ, Levin B, et al. Guidelines for colonoscopy surveillance after polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer and the American Cancer Society. Gastroenterology. 2006;130:1872–5.

    Article  PubMed  Google Scholar 

  • Zlatanic J, Waye JD, Kim PS, Baicco PJ, Glein GW. Large sessile colonic adenomas: use of argon plasma coagulator to supplement piecemeal snare polypectomy. Gastrointest Endosc. 1999;49:731–5.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Jerome D. Waye M.D., FACP .

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Rubin, P.H., Waye, J.D. (2011). Colonoscopic Polypectomy. In: Wu, G., Sridhar, S. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-044-7_18

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  • DOI: https://doi.org/10.1007/978-1-59745-044-7_18

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-58829-478-4

  • Online ISBN: 978-1-59745-044-7

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